Case of a Girl with Cancer Seeking Fertility Counseling
Fig. 23.1 Imaging of femur . (a) X-ray. (b) MRI The young woman is otherwise healthy, with no significant past medical history . She has never been hospitalized nor had…
Case of a Girl with Secondary Amenorrhea and an Eating Disorder
Fig. 10.1 A 3 kg weight loss in the peripubertal period, when patients are naturally supposed to grow in height, weight, and BMI, can cause a steep decline in BMI…
Case of a Girl with Heavy, Prolonged Periods and Anemia
Fig. 8.1 Graphical representation of the menstrual cycle, including gonadotropin levels, steroid hormone levels, the ovarian cycle, and the endometrial cycle In adolescent girls shortly after menarche, the HPO axis…
Gynecologic Care and Contraception in the Medically Complex Adolescent
Conditions with contraceptive contraindications COCs, patch, vaginal ring POPs DMPA Implant Progestin IUD Copper IUD Risk of thrombosis Antiphospholipid antibody syndrome X History of thrombosis and high risk for recurrence…
Case of a Girl Due for Human Papillomavirus Immunization
Site Average annual # % Attributable HPV % Caused by HPV 16 or 18 % Additional caused by HPV 31, 33, 45, 52, 58 Cervix 11,967 96% 66% 15% Vulva…
Case of a Girl on Psychotropic Medications Seeking Birth Control
Medication Effect on serum prolactin Risperidone Significant elevation Haloperidol Significant elevation Olanzapine Moderate elevation Ziprasidone Moderate elevation Quetiapine Relative sparing Clozapine Relative sparing Aripiprazole Relative sparing Many antipsychotics are associated…
Case of a Girl with Vulvar Swelling
Fig. 4.1 Labia minora hypertrophy Common symptoms of adolescents presenting with labial hypertrophy include irritation, pain, and interference with personal hygiene (especially during menses) [1, 3, 9]. In many cases…
Case of a Girl with Obesity Seeking Birth Control
Condition COC/P/R POP DMPA Implants LNG-IUD Cu-IUD Age Menarche to Menarche to Menarche to Menarche to Menarche to Menarche to <40 years = 1 <18 years = 1 <18 years = 2 <18 years = 1 <20 years = 2…
Case of a Girl with Condom Failure
© Springer International Publishing AG 2018Hina J. Talib (ed.)Adolescent Gynecology https://doi.org/10.1007/978-3-319-66978-6_19 19. Case of a Girl with Condom Failure Karen Browner-Elhanan1 (1) Pediatrics-Adolescent Medicine, Renown Children’s Hospital, Reno, NV, USA Karen Browner-Elhanan Email: drkj@optimum.net…
Case of a Girl Seeking Birth Control
Fig. 18.1 When to start using long-acting reversible contraception (LARC), including copper-containing intrauterine devices (IUDs), levonorgestrel-releasing IUDs, and implants AB is followed by a pediatric neurologist for migraine headaches with…
